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  1. Jonathan F. Diller MD

    Excellent article by Josh Smith MD. Many of us have forgotten the well intentioned legislative decisions but with unintended consequences that persist and in fact have worsened over time. The mental health issues have become a major crisis. Medicare and Medicaid continue to be a sticky wicket of challenges. I can identify with the EMR issues. It was presented as way to save time money and improve patient care. A triple lie! It certainly takes more time, costs more money, and is questionable if overall quality of care has improved. I appreciated your summarization of issues. Hopefully you and your generation will be part of the needed solutions to these issues. Good Luck.

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